Individual
MOLLY RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6044
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010388
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2023
Last updated
12/04/2024
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